D W MCMILLAN MEMORIAL HOSPITAL - BREWTON, AL

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D W MCMILLAN MEMORIAL HOSPITAL
1301 BELLEVILLE AVENUE
BREWTON, AL 36426

SHORT TERM HOSPITALS

Services provided by D W MCMILLAN MEMORIAL HOSPITAL:

Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 91

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 91

Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 2

Prior change of ownership (The date of a prior change of ownership): Jun 1995

Accreditation effective date (The effective date of the current period of accreditation by the joint commission on accreditation of health care organizations (jcaho) or the american osteopathic association (aoa)): Aug 2000

Accreditation expiration date (The expiration date of the current period of accreditation by the joint committee on accreditation of health care organizations (jcaho) or the american osteopathic association (aoa)): Aug 2003

Accreditation indicator (Indicates the organization that is responsible for the accreditation of the provider): JCAHO

Certified rn anesthetists (Number of full-time equivalent certified registered nurse anesthetists (crna) employed by a hospital): 4

Clia - Hosp lab id #1 (Number assigned to a hospital laboratory licensed in accordance with the clinical laboratory improvement act (clia)): 01D0693291

Clia - Hosp lab id #2 (Number assigned to a hospital laboratory licensed in accordance with the clinical laboratory improvement act (clia)): 01D0305079

Current survey ever accredited (Indicates if this provider was an accredited hospital anytime during the current survey): Yes

Current survey ever non-Accred (Indicates if this provider was a non-Accredited hospital anytine during the current survey): No

Current survey ever swingbed (Indicates if this provider was a swingbed hospital anytime during the current survey): No

Dieticians (Number of full-time equivalent dieticians employed by a facility): 1

Licensed pract/vocat nurses (Number of full-time equivalent licensed practical or vocational nurses employed by a facility): 42

Medical school affiliation (The type of affiliation that a hospital may have with a medical school): NO AFFILIATION

Participating code (y,n) (This code indicates whether a provider is participating in the Medicaid or Medicare program): Yes

Physical therapists (The number of full-time equivalent physical therapists employed by a provider): 1.50

Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICARE AND MEDICAID

Regional override #2 (staffing) (This field is set to "y" when the regional office has to ok a pending record in the special fields screen. this field only applies to categories in the odie data entry system): Yes

Registered nurses (The number of full-time equivalent registered professional nurses employed by a provider): 79

Registered pharmacists (The number of full-time equivalent registered pharmacists employed by a provider): 1

Resident program approved by ada (Indicates if the resident program at a hospital is approved by the american dental association): No

Resident program approved by ama (Indicates if the resident program at a hospital is approved by the american medical association): No

Resident program approved by aoa (Indicates if the resident program at a hospital is approved by the american osteopathic association): No

Resident program approved by other (Indicates if the resident program at a hospital is approved by other professional organizations): No

Srv: acute renal dialysis (Indicates how acute renal dialysis services are provided in a hospital): PROVIDED UNDER ARRANGEMENT

Srv: anesthesia (Indicates how anesthesia services are provided by a hospital): PROVIDED BY STAFF AND UNDER ARRANGEMENT

Srv: blood bank (Indiciates how blood bank services are provided by a hospital): 1

Srv: dietary (Indicates how dietary services are provided): PROVIDED BY STAFF

Srv: home care unit (Indicates how home care services are provided by a hospital): PROVIDED BY STAFF

Srv: inpatient surgical (Indicates how inpatient surgical services are provided by a hospital): PROVIDED BY STAFF

Srv: intensive care unit (Indicates how intensive care unit services are provided by a hospital): PROVIDED BY STAFF

Srv: laboratory (clinical) (Indicates how clinical laboratory services are provided in a hospital): PROVIDED BY STAFF

Srv: neonatal nursery (Indicates how neonatal nursery services are provided by a hospital): PROVIDED BY STAFF

Srv: nuclear medicine (Indicates how nuclear medicine services are provided by a hospital): PROVIDED BY STAFF

Srv: obstetrics (Indicates how obstetrics services are provided by a hospital): PROVIDED BY STAFF

Srv: operating rooms (Indicates how operating room services are provided by a hospital): PROVIDED BY STAFF

Srv: outpatient (Indicates how outpatient services are provided by a hospital): PROVIDED BY STAFF AND UNDER ARRANGEMENT

Srv: pediatric (Indicates how pediatric services are provided by a hospital): PROVIDED BY STAFF

Srv: pharmacy (Indicates how pharmacy services are provided): PROVIDED BY STAFF

Srv: physical therapy (Indicates how physical therapy services are provided): COMBINATION

Srv: postoperative recovery room (Indicates how postoperative recovery room services are provided by a hospital): PROVIDED BY STAFF

Srv: radiology (diagnostic) (Indicates how diagnostic radiology services are provided by a hospital): PROVIDED UNDER ARRANGEMENT

Srv: social (Indicates how social services are provided): PROVIDED BY STAFF

Swing bed indicator (Indicates if a hospital provides swing bed services - Beds can be used for either hospital or long term care services): No

Type of facility (Indicates the category which represents the type of facility): SHORT - TERM

Srv: respiratory care (Indicates how respiratory care services are provided): PROVIDED UNDER ARRANGEMENT

Medical social workers (Number of full-time equivalent medical social workers employed by a hospital or hospice): 1

Compliance: status (Indicates if a provider or supplier is in compliance with program requirements): IN COMPLIANCE

Current survey date (The date of the health or life safety code survey, whichever is later. the "official" survey date for the provider): May 2001

Eligibility code (Indicates if a facility is eligible to participate in the Medicare and/or Medicaid programs): ELIGIBLE TO PARTICIPATE

Participation date (The date a facility is first approved to provide Medicare and/or Medicaid services): Jul 1966

Quality Measure Score

	Here	State Average	Nation Average
Heart Attack Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)	100%	78%	85%
Heart Attack Patients Given Aspirin at Arrival	100%	88%	93%
Heart Attack Patients Given Aspirin at Discharge	100%	91%	90%
Heart Attack Patients Given Beta Blocker at Arrival	75%	84%	88%
Heart Attack Patients Given Beta Blocker at Discharge	100%	86%	91%
Heart Attack Patients Given Smoking Cessation Advice/Counseling	100%	92%	91%

	Here	State Average	Nation Average
Heart Failure Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)	73%	86%	84%
Heart Failure Patients Given Discharge Instructions	47%	64%	66%
Heart Failure Patients Given Smoking Cessation Advice/Counseling	67%	83%	86%
Heart Failure Patients Given an Evaluation of Left Ventricular Systolic (LVS) Function	100%	83%	85%

	Here	State Average	Nation Average
Pneumonia Patients Assessed and Given Influenza Vaccination	94%	68%	75%
Pneumonia Patients Assessed and Given Pneumococcal Vaccination	81%	71%	75%
Pneumonia Patients Given Initial Antibiotic(s) within 6 Hours After Arrival	100%	92%	93%
Pneumonia Patients Given Oxygenation Assessment	100%	99%	99%
Pneumonia Patients Given Smoking Cessation Advice/Counseling	90%	85%	84%
Pneumonia Patients Given the Most Appropriate Initial Antibiotic(s)	98%	84%	86%
Pneumonia Patients Whose Initial Emergency Room Blood Culture Was Performed Prior To The Administration Of The First Hospital Dose Of Antibiotics	96%	90%	90%

	Here	State Average	Nation Average
Surgery Patients Who Received Preventative Antibiotic(s) One Hour Before Incision	86%	79%	82%
Surgery Patients Who Received Treatment To Prevent Blood Clots Within 24 Hours Before or After Selected Surgeries to Prevent Blood Clots	84%	70%	75%
Surgery Patients Who Received the Appropriate Preventative Antibiotic(s) for Their Surgery	95%	87%	90%
Surgery Patients Whose Doctors Ordered Treatments to Prevent Blood Clots (Venous Thromboembolism) For Certain Types of Surgeries	87%	73%	79%
Surgery Patients Whose Preventative Antibiotic(s) are Stopped Within 24 hours After Surgery	78%	76%	78%

Hospital Consumer Assessment of Healthcare Providers & Systems Survey

How do patients rate the hospital overall?

	Here	State Average	Nation Average
Patients who gave a rating of 9 or 10 (high)	87%	73%	63%
Patients who gave a rating of 7 or 8 (medium)	12%	20%	26%
Patients who gave a rating of 6 or lower (low)	1%	7%	11%

How often did doctors communicate well with patients?

	Here	State Average	Nation Average
Doctors always communicated well	92%	86%	79%
Doctors usually communicated well	8%	12%	16%

How often did nurses communicate well with patients?

	Here	State Average	Nation Average
Nurses always communicated well	87%	79%	73%
Nurses usually communicated well	12%	17%	21%
Nurses sometimes or never communicated well	1%	4%	6%

How often did patients receive help quickly from hospital staff?

	Here	State Average	Nation Average
Patients always received help as soon as they wanted	52%	55%	60%
Patients usually received help as soon as they wanted	45%	37%	28%
Patients sometimes or never received help as soon as they wanted	3%	8%	12%

How often did staff explain about medicines before giving them to patients?

	Here	State Average	Nation Average
Staff always explained	79%	69%	58%
Staff usually explained	14%	16%	18%
Staff sometimes or never explained	7%	15%	24%

How often was patients' pain well controlled?

	Here	State Average	Nation Average
Pain was always well controlled	85%	75%	67%
Pain was usually well controlled	12%	19%	25%
Pain was sometimes or never well controlled	3%	6%	8%

How often was the area around patients' rooms kept quiet at night?

	Here	State Average	Nation Average
Always quiet at night	77%	71%	54%
Usually quiet at night	18%	23%	32%
Sometimes or never quiet at night	5%	6%	14%

How often were the patients' rooms and bathrooms kept clean?

	Here	State Average	Nation Average
Room was always clean	82%	72%	68%
Room was usually clean	15%	19%	21%
Room was sometimes or never clean	3%	9%	11%

Were patients given information about what to do during their recovery at home?

	Here	State Average	Nation Average
Yes, staff did give patients this information	98%	87%	79%
No, staff did not give patients this information	2%	13%	21%

Would patients recommend the hospital to friends and family?

	Here	State Average	Nation Average
YES, patients would definitely recommend the hospital	93%	79%	67%
YES, patients would probably recommend the hospital	7%	18%	27%

Average Medicare Payment

Chest Pain: $2815
Chronic Lung Disease: $4190
Diabetes in Adults: $3575
Gallbladder Removal By Laparoscope: $4947
Gallbladder Removal by Laparoscope with Complications or Preexisting Conditions: $8344
Heart Attack with Major Complications: $5235
Heart Attack without Complications: $3533
Heart Failure: $4646
Hernia Operations in Adults: $4055
Hernia Operations in Adults with Complications or Preexisting Conditions: $6773
Major Heart and Blood Vessel Procedures with Complications or Preexisting Conditions: $18478
Major Small & Large Intestine Operations: $6890
Minor Small and Large Bowel Procedures With Complications: $17625
Other Bone, Joint & Organ Operations with Complications or Preexisting Conditions: $9227
Pneumonia and Pleurisy in Adults With Complications or Preexisting Conditions: $4956
Uterus & Ovary Operations: $3823

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